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NPI Code Detail

MEDICARE: EMILY KING LPC, NCC

MEDICARE: EMILY KING LPC, NCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1821613647
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY KING LPC, NCC
Provider Business Mailing Address
First Line : 4362 N KENMORE AVE APT 1
Second Line :
City : CHICAGO
State : IL
Zip : 60613-1328
Country : US
Telephone Number : 801-636-5732
Fax Number :
Provider Business Practice Location Address
First Line : 30 N MICHIGAN AVE STE 1217
Second Line :
City : CHICAGO
State : IL
Zip : 60602-3732
Country : US
Telephone Number : 312-725-3093
Fax Number : 773-989-7207
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2020
Last Update Date : 06/09/2020

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